Pongsakul Ann, Daniel Amy, Lochala Roddy, Martin David E
Family Medicine, Unity Health, Searcy, USA.
Graduate Medical Education, Unity Health, Searcy, USA.
Cureus. 2024 Mar 30;16(3):e57284. doi: 10.7759/cureus.57284. eCollection 2024 Mar.
Intracerebral hemorrhage (ICH) is a rare and severe complication of immune thrombocytopenic purpura (ITP) that can be spontaneous. Viral illnesses, other infections, autoimmune disorders, and medications can cause ITP. ITP causes a significant decrease in platelet levels, increasing bleeding risk. ITP can be treated by steroids, intravenous immunoglobulin, plasmapheresis, platelet transfusion, biological agents, and splenectomy. ICH treatment involves the treatment of underlying ITP, as well as any neuro-interventional procedures needed. In this case report, we look at the presenting symptoms and treatment course of an interesting case of ICH in a patient who developed ITP after a viral upper respiratory infection.
脑出血（ICH）是免疫性血小板减少性紫癜（ITP）一种罕见且严重的并发症，可为自发性。病毒感染性疾病、其他感染、自身免疫性疾病及药物均可导致ITP。ITP导致血小板水平显著下降，增加出血风险。ITP可通过使用类固醇、静脉注射免疫球蛋白、血浆置换、血小板输注、生物制剂及脾切除术进行治疗。ICH的治疗包括对潜在ITP的治疗以及所需的任何神经介入程序。在本病例报告中，我们探讨了一名在病毒性上呼吸道感染后发生ITP的患者发生ICH这一有趣病例的临床表现及治疗过程。
